Provider Demographics
NPI:1851340236
Name:CHEN, YING-MIN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:YING-MIN
Middle Name:MICHAEL
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27540 HOOVER RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-4505
Mailing Address - Country:US
Mailing Address - Phone:586-754-6797
Mailing Address - Fax:586-754-4219
Practice Address - Street 1:27540 HOOVER RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-4505
Practice Address - Country:US
Practice Address - Phone:586-754-6797
Practice Address - Fax:586-754-4219
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI037178207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2933832Medicaid
MI2933832Medicaid
MIA74800Medicare UPIN